@layout("/common/_container.html"){
<div class="ibox float-e-margins">
    <div class="ibox-content">
        <div class="form-horizontal">
            <form class="text-center" id="mainform" action="${ctxPath}/person/add" method="post" enctype="multipart/form-data" role="form">
                <div class="row">
                    <div class="col-sm-offset-3 col-sm-6">
                        <img alt="请选择你要上传的图片" width="210px" height="279px" class="form-img" id="form-img" src="${ctxPath}/static/img/demo.png"><br>
                        <input type="file" name="img" class="hidden" id="file" accept="image/*" onchange="xmTanUploadImg(this)"> <label class="btn btn-warning" for="file">上传图片</label>
                    </div>
                </div>
                <div class="row">
                    <div class="col-sm-6 b-r">
                                <#input id="name" name="单位名称/姓名" underline="true"/>
                                <#input id="caseNumber" name="案件号" underline="true"/>
                                <#input id="identificationNumber" name="证件号" underline="true"/>
                                <#input id="age" name="年龄"/>
                    </div>

                    <div class="col-sm-6">
                                <#input id="address" name="地址" underline="true"/>
                                <#input id="outstandingAmount" name="未履行金额" underline="true"/>
                                <div class="form-group">
                                    <label class="col-sm-3 control-label" for="region">区域</label>
                                    <div class="col-sm-9">
                                        <select id="region" name="region" class="form-control col-sm-9">
                                            <option value="PS" selected="selected">彭山</option>
                                            <option value="DL">丹棱</option>
                                        </select>
                                    </div>
                                </div>
                    </div>

                </div>
                <div class="row btn-group-m-t">
                    <div class="col-sm-10">
                        <button type="button" class="btn btn-info " id="add">
                            <i class="fa fa-check"></i>&nbsp;提交
                        </button>
                        <#button btnCss="danger" name="取消" id="cancel" icon="fa-eraser" clickFun="PersonInfoDlg.close()"/>
                    </div>
                </div>
            </form>
        </div>
    </div>
</div>
<script src="${ctxPath}/static/modular/system/person/person_info.js"></script>
@}
